If you bought your insurance from a broker, for example The AA or Swinton, but it's underwritten by Allianz, use our broker online form to make your claim.

Please note that fields marked with asterisk (*) are mandatory.

About your car insurance claim

Type of claim*

If you've added the windscreen cover option to your policy and your windscreen or other glass in your car has been damaged, please call our windscreen supplier Autoglass on Freephone 0800 167 7180 (lines are open 24 hours a day seven days a week).

Was anybody injured in the incident?*

Did the incident involve a cyclist or pedestrian?*

If you are making a claim for an accident in which someone was injured, or involved a pedestrian or cyclist, it is very important that we get your claim information as quickly as possible. Please call us on 0344 893 9606 (lines are open 24 hours a day, seven days a week).

We'll send a confirmationWhen you submit your claim, we’ll send you an email to confirm we’ve got it. It’s important you provide us with the correct email address to prevent your personal information getting sent to anyone else

What's this?Please indicate if the driver of your car at the time of the incident has been convicted of any motoring offences, or received any fixed penalty notices, within the last 5 years. You don't need to tell us if you went to a Speed Awareness course instead of receiving a conviction or fixed penalty points.

Is the vehicle driveable?You shouldn't attempt to use your car if you think it is unsafe to drive. If, for example, any exterior lights are damaged, there are leaking fluids, or your ability to steer, brake and the driver's ability to see have been affected by the incident

Injuries:If you or anyone with you was hurt, please describe the injuries in detail for us.

Can the policyholder reclaim VAT in relation to the insured vehicle?field description

Are you registered for VAT? If you’re VAT registered and your claim involves goods or services that charge VAT, you’ll be invoiced directly for the VAT. You can reclaim this as long as you sometimes use your car for business.

Is the policyholder the registered owner?

Yes

No

Registered owner title

Registered owner name

Registered owner address 1

Registered owner address 2

Registered owner address 3

Registered owner town/city

Registered owner county

Registered owner postcode

Registered owner email

Third party details

Was anyone else involved? *

Yes

No

Please provide us with the details you have about each person that was also involved in the accident

Title

Full name

Address line 1

Address line 2

Address line 3

Town/city

County

Postcode

Contact number

Email address

The name of their insurer

Insurer address 1

Insurer address 2

Insurer address 3

Insurer town/city

Insurer county

Insurer postcode

Their claim reference no.

Their registration no.

Vehicle make

Vehicle model

Vehicle colour

Was their vehicle damaged as a result of the incident?

Please give details of any damage to third party vehicle and the surrounding areafield description

Damage to other cars or the surrounding area:Please describe the specific damage to other cars, if there was any. Please also tell us about anything that happened to things nearby, for example damage to property.

You’re using an older version of Internet Explorer which doesn’t let you upload files. Try updating your browser to the latest version and then start again. Or when you’ve sent your claim to us, email your documents separately to carclaims@allianz.co.uk. If you email us, please remember to include your policy number and the date the incident happened.

Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Financial Services Register number 121849

Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Financial Services Register number 121849